High-intensity focussed ultrasound and hysteroscopy endo-operative system cold device procedures for treating >4cm diameter FIGO Type 2 uterine myoma and ensuring successful pregnancy.

IF 1.9 4区医学 Q3 OBSTETRICS & GYNECOLOGY

European Journal of Contraception and Reproductive Health Care Pub Date : 2023-08-01 DOI:10.1080/13625187.2023.2216329

Sha Liao, Xiaoli Wang, Na Fu, Yan Huang

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引用次数: 0

Abstract

Purpose: Laparotomic or hysteroscopic myomectomy, and high-intensity focussed ultrasound (HIFU), can be used in the treatment of Type 2 myomas with a > 50% intramural component. Hysteroscopic electroresection may damage the remaining endometrium and complete ablation of myomas may not be realised via HIFU treatment. We report and examine the results of 1 case of HIFU treatment, accompanied with the hysteroscopy endo-operative system (HEOS) cold device procedure.

Materials and methods: These were used for treating a > 4cm diameter Type 2 uterine myoma and ensuring successful pregnancy. HIFU treatment of uterine myomas can achieve point-by-point ablation of lesions as far as possible without damaging the endometrium. The HEOS cold device procedure was implemented 3 months after HIFU treatment.

Results: The patient got pregnant naturally in the third month after receiving treatment, with no complications during her pregnancy. The patient gave birth to a healthy male via full-term cesarean section.

Conclusions: HIFU treatment, accompanied with the HEOS cold device procedure, ensured complete myoma removal. It also preserved the integrity of the myometrium and prevented uterine perforation during surgery.

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高强度聚焦超声和宫腔镜术内系统冷装置治疗>4cm直径FIGO 2型子宫肌瘤，确保妊娠成功。

目的:腹腔镜或宫腔镜下子宫肌瘤切除术，高强度聚焦超声(HIFU)可用于治疗> 50%壁内成分的2型肌瘤。宫腔镜电切可能会损伤剩余的子宫内膜，通过HIFU治疗可能无法完全切除肌瘤。我们报告并检查了1例HIFU治疗的结果，并伴有宫腔镜手术内系统(HEOS)冷装置程序。材料和方法:用于治疗直径> 4cm的2型子宫肌瘤，确保妊娠成功。HIFU治疗子宫肌瘤可在不损伤子宫内膜的情况下，实现病灶逐点消融。HEOS冷装置程序在HIFU治疗后3个月实施。结果:患者于治疗后3个月自然怀孕，孕期无并发症发生。患者通过足月剖宫产生下一名健康男性。结论:HIFU治疗配合HEOS冷装置手术，确保了肌瘤的完全切除。它还保留了子宫肌层的完整性，并防止手术期间子宫穿孔。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Contraception and Reproductive Health Care 医学-妇产科学

CiteScore

3.70

自引率

11.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Official Journal of the European Society of Contraception and Reproductive Health, The European Journal of Contraception and Reproductive Health Care publishes original peer-reviewed research papers as well as review papers and other appropriate educational material.